A risk-to-benefit analysis for central venous catheters

Reliable venous access is an important consideration in the management of the cancer patient, where long-term intravenous therapy is needed. A single institution retrospective analysis of 205 catheter placements allowed comparison of different lines and techniques. This experience shows that surgica...

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Bibliographic Details
Published in:Transfusion science 1996-09, Vol.17 (3), p.379-383
Main Authors: du Toit, J.Michael G., Kaftansky, Richard, Wood, Lucille, Jacobs, Peter
Format: Article
Language:English
Subjects:
Antineoplastic Agents - administration & dosage
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - economics
Catheterization, Central Venous - methods
Costs and Cost Analysis
Health technology assessment
Humans
Neoplasms - drug therapy
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Summary:Reliable venous access is an important consideration in the management of the cancer patient, where long-term intravenous therapy is needed. A single institution retrospective analysis of 205 catheter placements allowed comparison of different lines and techniques. This experience shows that surgical introduction under general anaesthetic of a double-lumen, 12 gauge, silastic catheter in the superior vena cava, via the internal jugular vein and using a 15 cm anterior chest wall tunnel, resulted in longest survival, fewest infections, and enjoyed a high patient acceptability. A substantial cost-saving, particularly in antibiotic usage, was observed as a result of the improved technique.
ISSN:0955-3886
1879-3126
DOI:10.1016/0955-3886(96)00008-2